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General NPI Number Information
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NPI Number | 1760528848
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Entity Type | Individual
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Provider Name | JENNIFER TSCHIMPERLE H.I.S.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 FULLER ST S SUITE 135
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City | SHAKOPEE
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State | MN
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Zip | 55379-1348
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Country | US
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Telephone | 952-402-0944
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Fax |
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Provider Business Mailing Address
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Address Line | 28909 DEWY LN
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City | NEW PRAGUE
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State | MN
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Zip | 56071-4463
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Country | US
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Telephone | 952-758-6513
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2400
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License Number State | MN
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